Critical Appraisal Worksheet : Therapy
 Department [
[
] 1. Med [
] 7. Radio [
] 2. Pediatrics [
] 8. Ortho. [
] 3. Surgery [
] 9. Anaes. [
] 4. OB-GYN [
] 10. Rehab. [
] 5. EYE [
] 11. Patho [
] 6. ENT
] 12. Forensic
 Activity: [ ] 1. Journal Club
[ ] 2. Interesting Case
[ ] 3. Others………………….……………..
 Date(DD/MM/YY): [ ] [ ] / [ ] [ ] / [ ] [ ]
 Main Appraiser: [ ] 1. Resident ปี ท…
่ี …… [ ] 2. แพทย์ใช้ทุนปี ท…
่ี …….[ ] 3. อื่นๆ………………………………………..
 Name of Appraiser/Staff ………………………………………………………………………………………………………………………..
 Scenario:…………………………………………………………..…………………….……………………………………..……..
……….………………………………………………….……………………………………………………………………..…………
 Four-part clinical question:
1. Patient/Health problem:……………………………………………………………………………………..…..………………
2. Intervention:…………………………………………………………………………………………………..…..………………
3. Comparison:……………………………………………………………………………………………...……….………….......
4. Outcome:……………………………………………………………………………………………….…………...………….…
 Clinical Question:………….………………………………………………………………………………………………………..
 Search Strategies:




1. Search terms & Syntax ………………………………………………………………..………………………………………
…………………………………………………………………………………………………………………………………….
2. Databases ………………. ……………………………………………………………………..………………………………
Date of Search ……………………………………………………………………………………………………………………
Number of Retrieved Articles: ………………………………………………………………………………………………….
Article to be appraised :…….……………………….……………………………………………………………………………
………………………………………………………….……………………………………………………………………………
Method of study:
[
[
] 1. Systematic Review [
] 5. Cross-sectional study [
] 2. Clinical Trial (experimental study) [
] 6. Descriptive study
[
] 3. Cohort study [ ] 4. Case-control
] 5. Others …….……………………….……
I. Study validity:
Was the assignment of patients to
treatments randomized?
Was the randomization list concealed?
[ ] Yes [ ] No [ ] Can’t tell
Note……………………………………………………………………
[ ] Yes [ ] No [ ] Can’t tell
Note……………………………………………………………………
Were all patients who entered the trial
[ ] Yes [ ] No [ ] Can’t tell
accounted for at its conclusion?
Note……………………………………………………………………
Were all patients analyzed in the groups to [ ] Yes [ ] No [ ] Can’t tell
which they were randomized?
Note……………………………………………………………………
Were patients and clinicians kept "blind" to [ ] Yes [ ] No [ ] Can’t tell
treatment?
Note……………………………………………………………………
Were the groups treated equally, apart from [ ] Yes [ ] No [ ] Can’t tell
the experimental treatment?
Note……………………………………………………………………
คณะกรรมการเวชศาสตร์เชิงประจักษ์_สิงหาคม 2548 ปรับปรุงจาก JAMA 1993;270:2598-601, JAMA 1993;271:59-63 และ Critical Appraisal
Skills Programme (CASP), Public Health Resource Unit, Institute of Health Science, Oxford.
1
Were the groups similar at the start of the [ ] Yes [ ] No [ ] Can’t tell
trial?
Note……………………………………………………………………
Were the patients in all groups followed up [ ] Yes [ ] No [ ] Can’t tell
and data collected in the same way?
Note……………………………………………………………………
Were the outcome measured in a reasonable [ ] Yes [ ] No [ ] Can’t tell
way _subjective / objective?
Note……………………………………………………………………
Score of validity (0-10)
Overall validity?
[ ] Accept [ ] Reject
II. Are the valid results of this study important?
Relative Risk Absolute Risk Number Needed to
Reduction
Reduction
Treat
RRR (95%CI) ARR(95%CI)
NNT(95%CI)
CER
EER
CER - EER
CER - EER
1
Control Event Rate Experimental Event Rate
CER
ARR
III. Applicability and Limitations:
Is your patient so different from those in
the study that its results cannot apply?
Is the treatment feasible in your setting?
[ ] Yes [ ] No [ ] Can’t tell
Note……………………………………………………………………
[ ] Yes [ ] No [ ] Can’t tell
Note……………………………………………………………………
Are they met by this regimen and its
[ ] Yes [ ] No [ ] Can’t tell
consequences-benefit & harm?
Note……………………………………………………………………
Do your patient and you have a clear
[ ] Yes [ ] No [ ] Can’t tell
assessment of their values and preferences? Note……………………………………………………………………
…………………………………………………………………………
Clinical Bottom Line of the Article……………………………………………………………………………….……
………………………………………………………………………………………………………………………….……
………………………………………………………………………………………………………………………….……
………………………………………………………………………………………………………………………….……
………………………………………………………………………………………………………………………….……
Resolution of the Scenario ……………………………………………………………………………………….……
………………………………………………………………………………………………………………………….……
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………….……
Comments .………………………………………………………………………………………..…
…………………………………………………………………………………………………….…
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………………………….……
คณะกรรมการเวชศาสตร์เชิงประจักษ์_สิงหาคม 2548 ปรับปรุงจาก JAMA 1993;270:2598-601, JAMA 1993;271:59-63 และ Critical Appraisal
Skills Programme (CASP), Public Health Resource Unit, Institute of Health Science, Oxford.
2